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Bad Advice? Two Nurses - Say Different Things.

deedee321

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Hello, new here and confused. I've had PCO's since I was 15 (which indicates highly a risk of diabetes) and have been tested over and over for diabetes ever since, it's always been negative. Many years ago, they tried me on Metformin as a way of treating PCO's but they made my legs swell terribly and it was stopped. Strangely enough, I've suffered from leg swelling ever since...

Skip ahead, I'm in my 50's now, and got a call at 8.30 am on my Birthday from a nurse, to tell me I have type 2 diabetes. I was shocked. She talked away but I wasn't taking it in. It was decided by her that I should start on Forxiga 10 mg but she said, if it didn't suit me and gave me UTS's - there was another injectable sugar-lowering drug they could give me - just give her a call. I was given 1 month of Forxiga and told to pick up a pamphlet from the surgery. She was very nice, very chirpy, told me not to worry etc. I was just in shock I think to be called and told that so early and on my Birthday, with the family around that I didn't take it all in.

When I was 10 days from being out of Forxiga, I requested a repeat prescription. My doctors failed to send it to the chemist (despite frequent calls) so I ran out of it for a week and had nothing before I got given the next pack. I tried to do a low-carb diet after reading on here that that may help.

I was fine the first month on Forxiga, however, the second month, I was peeing frequently (several times at night) and got a UTI. It took 7 days to get antibiotics out of my Dr's for it. So, I tried contacting the nurse back, as I wanted to try the alternative med (I cannot remember the name she rattled off) but kept being told she was fully booked. I kept calling and was eventually told 'a different nurse; had space. They got her to call me. I told her what the first nurse had said and said I would now like to try the alternative meds she had offered. My doctors are still not seeing anyone face to face, it's phone only.

She just said "Oh, she offered you an alternative? Yes, I replied. Hmm did she now" was her response. She had a sarcastic tone, I didn't warm to her at all. She agreed to give me the alternative meds and said I had to attend to be shown how to inject it. I attend the appointment to be shown how to do the med injection and be given the meds as discussed. Except, as soon as I walked in, she said she had decided NOT to give me the meds, to get me to fill in a food diary, slung a sugar meter at me, told me I would probably need insulin and to get used to the idea now... every one with type 2 ends up needing insulin and the cells in your stomach that make insulin die, go back in a week. And in the meantime - don't bother taking the Forxiga as it won't hurt not to, for a week!

I've worked out myself how to use the meter, in the last 2 days, my level is pretty much 9.6 whatever I do, tested before and 2 hrs after meals etc. I've been mulling over what this second nurse said to me, that she did not give me the second med to try, that she is telling me I will need insulin without any additional tests (how does she know?) and quite frankly her behavior has worried me. I've called and again asked for a telephone appointment with the first nurse, my doctors didn't ask why and told me to call back tomorrow and they would tell me if she has any spaces. I'm still taking the Forxiga - just in case, she is wrong.

I feel stressed out, confused and worried. I feel one nurse said one thing and now this new one is saying something completely different, which is worrying me (and with no additional testing). I'm also worried that the surgery allowed me to run out of meds. They won't let you re-order until you only have 10 days worth left, then take 20 days to do a prescription, have I got to face this every month for the rest of my life now, chasing meds, constant calls, running out?

Can anyone advise, please? I don't even know if 9.6 is massively high, average, or ok - no one has told me! Thanks
 
Hello, new here and confused. I've had PCO's since I was 15 (which indicates highly a risk of diabetes) and have been tested over and over for diabetes ever since, it's always been negative. Many years ago, they tried me on Metformin as a way of treating PCO's but they made my legs swell terribly and it was stopped. Strangely enough, I've suffered from leg swelling ever since...

Skip ahead, I'm in my 50's now, and got a call at 8.30 am on my Birthday from a nurse, to tell me I have type 2 diabetes. I was shocked. She talked away but I wasn't taking it in. It was decided by her that I should start on Forxiga 10 mg but she said, if it didn't suit me and gave me UTS's - there was another injectable sugar-lowering drug they could give me - just give her a call. I was given 1 month of Forxiga and told to pick up a pamphlet from the surgery. She was very nice, very chirpy, told me not to worry etc. I was just in shock I think to be called and told that so early and on my Birthday, with the family around that I didn't take it all in.

When I was 10 days from being out of Forxiga, I requested a repeat prescription. My doctors failed to send it to the chemist (despite frequent calls) so I ran out of it for a week and had nothing before I got given the next pack. I tried to do a low-carb diet after reading on here that that may help.

I was fine the first month on Forxiga, however, the second month, I was peeing frequently (several times at night) and got a UTI. It took 7 days to get antibiotics out of my Dr's for it. So, I tried contacting the nurse back, as I wanted to try the alternative med (I cannot remember the name she rattled off) but kept being told she was fully booked. I kept calling and was eventually told 'a different nurse; had space. They got her to call me. I told her what the first nurse had said and said I would now like to try the alternative meds she had offered. My doctors are still not seeing anyone face to face, it's phone only.

She just said "Oh, she offered you an alternative? Yes, I replied. Hmm did she now" was her response. She had a sarcastic tone, I didn't warm to her at all. She agreed to give me the alternative meds and said I had to attend to be shown how to inject it. I attend the appointment to be shown how to do the med injection and be given the meds as discussed. Except, as soon as I walked in, she said she had decided NOT to give me the meds, to get me to fill in a food diary, slung a sugar meter at me, told me I would probably need insulin and to get used to the idea now... every one with type 2 ends up needing insulin and the cells in your stomach that make insulin die, go back in a week. And in the meantime - don't bother taking the Forxiga as it won't hurt not to, for a week!

I've worked out myself how to use the meter, in the last 2 days, my level is pretty much 9.6 whatever I do, tested before and 2 hrs after meals etc. I've been mulling over what this second nurse said to me, that she did not give me the second med to try, that she is telling me I will need insulin without any additional tests (how does she know?) and quite frankly her behavior has worried me. I've called and again asked for a telephone appointment with the first nurse, my doctors didn't ask why and told me to call back tomorrow and they would tell me if she has any spaces. I'm still taking the Forxiga - just in case, she is wrong.

I feel stressed out, confused and worried. I feel one nurse said one thing and now this new one is saying something completely different, which is worrying me (and with no additional testing). I'm also worried that the surgery allowed me to run out of meds. They won't let you re-order until you only have 10 days worth left, then take 20 days to do a prescription, have I got to face this every month for the rest of my life now, chasing meds, constant calls, running out?

Can anyone advise, please? I don't even know if 9.6 is massively high, average, or ok - no one has told me! Thanks

Hi,

Welcome to the forum.

20 days to process a prescription request is more than a little excessive.
Mine on the whole are done in 2 working days.

Regarding using the meter. How often are you testing your bloods?
Your "9.6." Was this after a meal?
 
Hi,

Welcome to the forum.

20 days to process a prescription request is more than a little excessive.
Mine on the whole are done in 2 working days.

Regarding using the meter. How often are you testing your bloods?
Your "9.6." Was this after a meal?

I dont eat brekkie (have 2 coffee's) tested before lunch and 2 hrs after - 9.6 on both before and after and I'm taking Forxiga 10mg
I was told by her to do it just once a day before and after a meal and she gave me exactly 5 test strips - then I'm meant to return food diary and results to her...
 
Last edited by a moderator:
Hello DeeDee
To answer your most pressing question, 9.6 is not acutely dangerous but is a diabetic blood sugar and reflects your insulin resistance that is at the root of your type 2 diabetes.
Foxiga is a drug which gets the kidneys to excrete some excess glucose in your pee. It does come with side effects that because there's sugar being pee'd out, there's a risk of infection.
As far as I know the best way to stop your blood sugar and insulin levels being too high is to turn off or turn down the tap of whatever glucose (starchy carbs -rice, potatoes, pasta) and sugar (including juices, honey, dried fruit) you are eating. The drug is a bit like slightly widening the plug hole but if you keep eating in the way that has got you to this diagnosis, unfortunately the glucose flood will continue.
I would disagree with nurse 2 who is saying that insulin is inevitable in the sense that if you do change your diet (Prioritise protein, fill up on fat and careful with carbs) you can reverse away from that possibility. It is your choice. Another proven way is via the Newcastle Diet where you drop body fat quickly on 800 kcal balanced shakes over 8-12 weeks. There is a sub forum about that route and it is something that's available on the NHS.
Your body is likely still making large amounts of insulin but is having a hard job getting your cells to accept the glucose it is trying to force into them because they're over-stuffed with energy and can't expand any more. This is why the glucose has spilled out into your blood and you've got a type 2 diagnosis.
It is great that you've got a meter though as this is a good way to check how your body is reacting to any changes. Test in the morning before breakfast and at 2 and 4 hours after any meal. Ideally you'd want to be back at base level after 4 hours and gradually over time you'd get back into normal range 4-7 with only brief excursions above just after a meal.
So overall please don't panic but think about how you want to tackle it then let the nurses know so they can help with any medications that may need to change e.g. blood pressure tablets or an alternative to foxiga if it isn't suiting you such as metformin.
 
They have made your life very difficult.

Many of us T2s have to self-fund meters and strips - easy to buy online or from a pharmacy.
Some medical staff are not up-to-date with the latest research, especially around the best diets to try.
Some evidence that the sooner we drop carbs the better chance of getting into remission.
Low carb is usually below 130g a day, but many of us go much lower to reduce blood glucose. We vary a lot!
But we can only know how many carb a day (and per meal) if we test and test at first.

At first I measured first thing (fasting) then before and 2 hours after every meal. From this I could see how many carbs I could have and which foods spiked my BS even when the overall meal was lowish carb. And at first I weighed foods or/checked the carbs on labels for everything. Now I test once a week to make sure I'm not letting my carbs creep up.
 
Hello and welcome.
I am sorry you've had such a rough start and on your birthday.

As @TriciaWs said- most type 2s have to fund their own meter and strips. I really encourage you to get some strips and start testing before and after meals. This is the only way to work out how the food you ate is affecting your blood sugar levels.

I personally think the faster we start dealing with it the better. I'm in my 50s older than you and my levels on low carb are well within the normal range. My doctor who doesn't believe in low carb reluctantly agrees that my levels are fine. I don't anticipate being on insulin for a while. I hope that by vastly reducing my carbs I have reduced my insulin resistance and by keeping low carb are not provoking an insulin response.

It is unfortunate that many medical professionals are not well informed about diabetes particularly type 2. The great news is that on this forum there are many who are living it and many with a huge amount of knowledge together with a willingness to help.

Get some strips and test. Also actually calculate the carbs in the meals you eat so you can work out how your body is responding.

Good luck and welcome.
 
I dont eat brekkie (have 2 coffee's) tested before lunch and 2 hrs after - 9.6 on both before and after and I'm taking Forxiga 10mg
I was told by her to do it just once a day before and after a meal and she gave me exactly 5 test strips - then I'm meant to return food diary and results to her...
That sounds absolutely useless. Honestly though, you've spoken to two nurses... If you'd seen 5, you would've had 5 very different conversations, I'm sure, and all of them contradicting one another. I doubt insulin is a forgone conclusion... You've got options. The medication you're on is not without its risks and I don't know whether it's safe to low carb with it, or whether there's a chance you'll hypo. But just get yourself a bucket load of strips (get a different meter with cheaper strips if you have to), and test around every meal. Before you eat, and two hours after the first bite. You're aiming for a rise of no more than 2.0 mmol/l. Also, every time you feel a bit off, to be safe with the medication you're on. Others here'll know more about it, I never used yours.

You be good to yourself and don't despair... Just think of what'll happen when you get your blood sugars under control without proper help from your nurses! Imagine the slack jaw, and how puzzled they'd be. It's a great motivator. ;)
 
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